Herold, Jeffrey A

Herold, Jeffrey A is an individual health care provider with primary practice located at 1526 N Taylor Dr , Sheboygan WI 53081-1927. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Herold, Jeffrey A can be contacted via phone (920) 803-1598.

Contact Information

Primary practice address
1526 N Taylor Dr Sheboygan WI 53081-1927
Fax: (920) 803-1599
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 39578 Wisconsin
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 39578 Wisconsin

Profile Details

NPI number 1932394962
LBN Legal business name Herold, Jeffrey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Feb 18th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932394962 NPPES
Wisconsin MEDICAID 32429800

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